OrganizationActive
Fasttrack Ic Ancillary LLC
NPI 1780134411 · Specialist · Dublin, GA
Fasttrack Ic Ancillary LLC is a Specialist organization in Dublin, GA (NPI 1780134411).
Provider details
- NPI number
- 1780134411
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Jared Deraney, President(888) 728-0882
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1110 Hillcrest Pkwy
Unit #c
Dublin, GA 31021-3687
Phone: (478) 296-2800
Street-level locationGet directions
Mailing address
Po Box 4380
Alpharetta, GA 30023-4380
Registry dates
- Enumerated
- 2016-10-05
- Last updated
- 2016-10-05
Frequently asked questions
- What is Fasttrack Ic Ancillary LLC's NPI number?
- Fasttrack Ic Ancillary LLC's National Provider Identifier (NPI) is 1780134411, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fasttrack Ic Ancillary LLC?
- Fasttrack Ic Ancillary LLC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Fasttrack Ic Ancillary LLC located?
- Fasttrack Ic Ancillary LLC's practice location on file with NPPES is 1110 Hillcrest Pkwy, Dublin, GA 31021-3687.
- What is Fasttrack Ic Ancillary LLC's phone number?
- The practice phone number listed in the NPPES registry for Fasttrack Ic Ancillary LLC is (478) 296-2800.
- Who is the authorized official for Fasttrack Ic Ancillary LLC?
- The authorized official listed on Fasttrack Ic Ancillary LLC's NPPES record is Jared Deraney, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fasttrack Ic Ancillary LLC's NPI active?
- Yes — Fasttrack Ic Ancillary LLC's NPI (1780134411) is active in the NPPES registry as of the last update on 2016-10-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.